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KMID : 0602620000060030377
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Korean Journal of Hepatology
2000 Volume.6 No. 3 p.377 ~ p.383
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Successful Treatment of Huge Hepatic Cyst by One-Shot Instillation of Minocycline Chloride
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1백종태/1Jong Tae Baek
1이강문/1이동수/1안병민/1김명숙/1박현옥/1정규원/1선희식/1박두호/2양동헌/1Kang Moon Lee/1Dong Soo Lee/1Byung Min Ahn/1Myung Suk Kim/1Hyeon Ok Park/1Kyu Won Chung/1Hee Sik Sun/1Doo Ho Park/2Dong Hun Yang
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Abstract
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Despite the high prevalence of benign hepatic cysts, they rarely exhibit symptoms.
Radiologic studies such as ultrasonography or computed tomography disclose these cysts
incidentally. Occasionally, large cysts may compress organs next to them, resulting in
accompanying symptoms in patients. Recently, some reports have shown that treatment
with minocycline chloride instillation into the cyst, after aspiration of cystic fluid,
produces good results. First, we instilled doxycycline into the cyst after aspiration of the
cyst with a resultant decrease in size. We aspirated 25％ of the cyst followed by
instillation of minocycline chloride (200 mg in 10 ml of 2％ lidocaine) into the recurrent
cyst which became larger 45 days later. In the other case we succeeded in making the
cyst decrease in 4 months with no recurrence by an instillation of minocycline chloride
(500 mg in 10 ml of 2％ lidocaine) following aspiration of 25％ of the cyst. We report,
with references, both cases in which we have succeeded.
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KEYWORD
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